[Hearing ability after cholesteatoma surgery].
Five years after cholesteatoma surgery (primary operation in 1981 and 1982) we examined 112 patients to determine the hearing and clinical results in follow-up. In 12 (10.7%) patients Cholesteatoma recurred. During the period of follow-up 28 (25%) ears underwent second surgery. Comparing the open (50.9%) with the closed (49.1%) technique a better air bone gap was gained for the closed technique procedures. This was confirmed when the different types of tympanoplasty were compared between the two groups. In 69.5% of the closed procedures the air bone gap was less than 20 dB, whereas the value for the open technique was 51.1%. In 30 patients a second-look operation was recommended, which was performed in 15 persons; 8 recurrent cholesteatoma were detected. Reducing the application of the closed procedures from a rate of 78.1% in the years 1971/1972 to 49.1% in 1981/1982, we saw a distinct reduction of cholesteatoma recurrence from 25% in 1971/1972 to 10.7% in the present study. The data show that the advice for a second-look operation should be seriously considered. Furthermore, the study indicates that due to modern tympanoplastic techniques also in longterm follow-up good hearing results can be obtained.
Kempf
H G
HG
Universitäts-Hals-Nasen-Ohren-Klinik Tübingen.
Möckel
C
C
Jahnke
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D001299:Audiometry; D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology* / Q000601:surgery; D004427:Ear Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology* / Q000601:surgery; D004432:Ear, Middle; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence
Hörvermögen nach Cholesteatom-Chirurgie.